Axillary Plexus Block: Decision Making- Crash course with Dr. Hadzic

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Disclaimer:
Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's KZbin channel is accurate.

[@nysoravideo]

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[@alexandergeis475]

Exactly the same approach that I would have chosen!

[@nian7826]

Thanks for another great instructional video

[@nysoravideo]

Hey ni an! Thank you for your comment! Make sure you subscribe to the channel so that you do not miss some super educational upcoming videos!

[@pola1614]

You are the best! Thanks for your engagement

[@nysoravideo]

Hi Pola! Thank you for your comment!

[@BloodyMaSSacR3]

Very well explained and demonstrated, top quality video. Our clinic standard (Germany) is quite similar as approach (in-plane and with NS) but we tend to inject a grand total of 40ml LA for the plexus block. It's probably quite an overkill but I believe we do it in the hopes of minimizing failed coverage and the need to convert to general anesthesia or to speed up the effect onset as sometimes the surgical cut is done in lower than 15 minutes after plexus block. So far I've never seen a LA intoxication reaction but that doesn't mean our approach is better. I would love to see some other tips & tricks videos about regional anesthesia for example: - Optimization of transducer & needle angles for achieving the best view for controlled injection - distal sciatic nerve block is a great example for such struggles as the nerves are highly anisotropic and often you tend to get forced to choose between seeing either only the nerve clearly or only your needle (in-plane). - Tips on identifying nerves in alternated anatomy - like in femoral nerve block after various vascular surgeries & bypasses in the region. - It would be cool to see a couple of "What to do if..." depicting common scenarios when things don't go as in the textbooks and what to do to overcome some common difficulties in regional anesthesia. For example what to do if the musculocutaneous nerve is nowhere to be seen and how to hunt it down along its path. Keep up the good work, cheers! (:

[@nysoravideo]

Hey Massacreto! Glad you like the video and thank you, this is a great suggestion. We will definitely put this on our list. Greetings to you and all your colleagues and make sure you subscribe to our channel so you don't miss these upcoming videos. Best Regards from NYSORA!

[@jennylmaclean2802]

Awesome sir ❤️

[@kulegodwinkaburuma8008]

Wow! Thank you so much for this.

[@nysoravideo]

Hi Kule Godwin kaburuma! Glad you like the video. Thank you for watching. Do subscribe to this channel and share with your colleagues; a lot more videos are coming up soon. Cheers!

[@mrrishiraj88]

Thanks

[@nysoravideo]

Most Welcome

[@kbrhdeptofanesthesia3357]

Thank you. Perhaps you could describe probe orientation a little more in relation to the needle and space (ie: anterior, posterior, medial, lateral both on the screen and the physical subject).

[@MrJvasud]

That's trade secret

[@fglogowski18]

Thank you for sharing your knowledge!

[@nysoravideo]

Hi Filip! Glad it was helpful!

[@ymc7496]

This is great. I can't wait to show it to my students. Thank you.

[@nysoravideo]

Dear YM C! Your comments are much appreciated! Thank you!

[@aaqibhassan7230]

Beautiful

[@adrianvillalba5904]

Sería una buena idea incluir la descripción de porqué eligieron este bloqueo para este paciente, tipos de cirugía para los que sirve y porcentaje de éxito, tolerancia al torniquete y duración de la anestesia y analgesia, si deben usar sedación o concomitante con otra técnica. Muchas gracias

[@sherrydawson6253]

Wow that was fascinating! So do u always use the machine to show u where u are ?

[@GravityGamerXCII]

These videos are amazing thank you !

[@nysoravideo]

Hi Imultigiant! Indeed. Thank you for your comment! Make sure you subscribe to the channel so that you do not miss some super educational upcoming videos!

[@bhaskar7020]

Thanks for a very clear teaching video. We would love to hear from you about how to get a clear sono image with the help of optimal settings . Many of the times is the lack of clear image that's the biggest issue.

[@nysoravideo]

Hey Bhaskar! Great suggestion. We will definitely put this on our list. Greetings to you and all your colleagues and make sure you subscribe to our channel so you don't miss these upcoming videos. Best Regards from NYSORA!

[@ughi63]

Hey!! Thank you for this fantastic video! Just 2 questions: Isn't it dangerous to prick the adventitia? anyway, isn't it better to turn the needle so that the blunt side is facing the artery?

[@omar-iv9xi]

Nice explanation, could you please more video how to make the ultrasoud image clear to see the structure as in your machine?

[@nysoravideo]

Hi Omar, Thank you for your comment. We will definitely put this on our list. Greetings!

[@subbur3788]

I identify each nerve separately and give 5 to 6 ml for each nerve. But not satisfied for # distal radius fixation. Most of the time I top up with supraclavicular block or block ulnar and median nerves at forearm level. I don't block musculocutaneous nerve. Is that the reason for not getting adequate block?

[@ahmedfaisal6961]

Are you giving other block for the tourniquet pain, in case you are giving a anaesthetic block?

[@vjrg75]

How do you block the Inter-costobrachial nerve at this approach?

[@Aravindanesthesiologist]

can I use spinal needle instead?if yes then what size is seen in usg?

[@HassanMohamed-sg5pi]

Hi I have a problem to distinguish between MN and UN Do you you have a tip to help me?

[@olivierndamage]

The image is not clear ,it's not for teaching Purpose